Individual
DR. MARY NABIL BASTAWROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
314 SEAVIEW AVE, STATEN ISLAND, NY 10305-2246
(718) 668-3417
(718) 668-3420
Mailing address
314 SEAVIEW AVE, STATEN ISLAND, NY 10305-2246
(718) 668-3417
(718) 668-3420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
126414
NY
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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